The State of Michigan is one of those states that do not go into much detail when it comes to its Nurse Practice Act. We actually no longer have a nurse practice act per se but the Michigan Public Health Code is the law that defines the practice of nursing in Michigan. This law also creates the Board of Nursing for our state.
As far as LPN's the Michigan Public Health Code merely states, “Practice of nursing as a licensed practical nurse” or “l.p.n.” means the practice of nursing based on less comprehensive knowledge and skill than that required of a registered professional nurse and performed under the supervision of a registered professional nurse, physician, or dentist. (see
http://www.legislature.mi.gov/(S(uts...=mcl-333-17201). Pretty darn simple isn't it?
Anyway maybe I can take a shot at your questions but do talk to someone at the BON so you can get the definitive answer.
1. Technically, yes. You have learned pharmacology in your program so you should be able to pass oral meds.
2. Yes, the law states that LPN's are under supervision of a physician (or an RN or a dentist as the law states) so if the physician orders something, an LPN is qualified to transcribe and carry out the order written or verbal.
3. Now, I do not know if IV flushes and IV meds are part of the competencies included in an LPN program. I always thought they are not. However, I think that is where NAPNES comes in. I believe NAPNES offers IV lines and drug management courses for LPN's and that's how they can practice IV lines and drug management.
4. Same answer as number 3.
5. There is no definite language in the law that states that on-site supervision is the requirement.
LPN scope of practice in Michigan
In the meantime, I am employed at long-term care facility and there is question regarding my scope of practice, what things I can and cannot do as a licensed practical nurse.
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